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Contact Information

NOURISH PEDIATRIC THERAPIES LLC
2616 MCEARL AVE SE
ALBUQUERQUE, NM87106-3007
 Phone: 505-506-3329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for NOURISH PEDIATRIC THERAPIES LLC

NPI # 1497410237
LBN Legal business name NOURISH PEDIATRIC THERAPIES LLC
Authorized official ANJULI SEARS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2021
Last updated 11/15/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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